Determining correspondences between high-frequency MedDRA concepts and SNOMED: a case study

<p>Abstract</p> <p>Background</p> <p>The Systematic Nomenclature of Medicine Clinical Terms (SNOMED CT) is being advocated as the foundation for encoding clinical documentation. While the electronic medical record is likely to play a critical role in pharmacovigilance - the detection of adverse events due to medications - classification and reporting of Adverse Events is currently based on the Medical Dictionary of Regulatory Activities (MedDRA). Complete and high-quality MedDRA-to-SNOMED CT mappings can therefore facilitate pharmacovigilance.</p> <p>The existing mappings, as determined through the Unified Medical Language System (UMLS), are partial, and record only one-to-one correspondences even though SNOMED CT can be used compositionally. Efforts to map previously unmapped MedDRA concepts would be most productive if focused on concepts that occur frequently in actual adverse event data.</p> <p>We aimed to identify aspects of MedDRA that complicate mapping to SNOMED CT, determine pattern in unmapped high-frequency MedDRA concepts, and to identify types of integration errors in the mapping of MedDRA to UMLS.</p> <p>Methods</p> <p>Using one years' data from the US Federal Drug Administrations Adverse Event Reporting System, we identified MedDRA preferred terms that collectively accounted for 95% of both Adverse Events and Therapeutic Indications records. After eliminating those already mapping to SNOMED CT, we attempted to map the remaining 645 Adverse-Event and 141 Therapeutic-Indications preferred terms with software assistance.</p> <p>Results</p> <p>All but 46 Adverse-Event and 7 Therapeutic-Indications preferred terms could be composed using SNOMED CT concepts: none of these required more than 3 SNOMED CT concepts to compose. We describe the common composition patterns in the paper. About 30% of both Adverse-Event and Therapeutic-Indications Preferred Terms corresponded to single SNOMED CT concepts: the correspondence was detectable by human inspection but had been missed during the integration process, which had created duplicated concepts in UMLS.</p> <p>Conclusions</p> <p>Identification of composite mapping patterns, and the types of errors that occur in the MedDRA content within UMLS, can focus larger-scale efforts on improving the quality of such mappings, which may assist in the creation of an adverse-events ontology.</p

Wilson Loop and the Treatment of Axial Gauge Poles

We consider the question of gauge invariance of the Wilson loop in the light of a new treatment of axial gauge propagator proposed recently based on a finite field-dependent BRS (FFBRS) transformation. We remark that as under the FFBRS transformation the vacuum expectation value of a gauge invariant observable remains unchanged, our prescription automatically satisfies the Wilson loop criterion. Further, we give an argument for {\it direct} verification of the invariance of Wilson loop to O(g^4) using the earlier work by Cheng and Tsai. We also note that our prescription preserves the thermal Wilson loop to O(g^2).Comment: 8 pages, LaTex; some typos related to equation (18) correcte

Rheograms for asphalt from single viscosity measurement

Asphalt materials are used in a variety of applications such as road paving, waterproofing, roofing membranes, adhesive binders, rust proofing and water resistant coatings. There are available in a number of grades distinguished in terms of their softening point and flow resistance. The selection of the proper grade of asphalt for a particular application is governed by the desired flow behaviour. A knowledge of the complete flow curve depicting the variation of melt viscosity with shear rate at the relevant temperatures is necessary not only for proper grade selection, but also for specifying processing conditions for aggregate mixing and spraying. The rheological data are also useful in assessing end use performance. The scientific techniques for generating the rheological data involve the use of expensive, sophisticated instruments. Generation of the necessary flow data using these instruments is beyond the financial and technical means of most processors of asphalt materials. The engineering techniques involving the use of inexpensive vacuum viscometers are relatively easy, but provide a single point viscosity measurement at low shear rate. In the present work, a method is proposed for unifying the viscosity versus shear rate a data at various temperatures for a number of asphalt grades. A master curve has been generated that is independent of the grade of asphalt and the temperature of viscosity measurement. The master curve can be used to generate rheograms at desired temperatures for the asphalt grade of interest, knowing its zero-shear viscosity at that temperature

Rheology of nylon 6 containing metal halides

Addition of metal halides to nylons has been shown to be advantageous in a number of ways. The decrease in melting temperature, increase in glass transition temperature and melt viscosity by such additions have allowed more convenient processing of low molecular weight polymers and thermally unstable polymers. Rheological data depicting the variation of melt viscosity with shear rate at temperatures relevant to processing are necessary in optimizing and trouble-shooting plastics processing operations. In the present paper, a method has been proposed to estimate, complete flow curves or rheograms of nylon-metal halide systems with the use of a master curve knowing the melt flow index and glass transition temperature of the system. The validity of the approach has been verified for the nylon 6-lithium chloride system and shown to hold good for any nylon-metal halide combination

Melt rheology of polymer blends from melt flow index

Polymer blends have received a lot of attention in recent years due to the possibility of getting compounds with novel and/or different properties through proper marriage of the properties of the respective mono-components. The flow behaviour of blends when subjected to stresses is complex and is often found not to vary monotonically with composition. Mixing rules and mixture theories have been used for estimating melt viscosity of a blend at zero shear rate. However a knowledge of the entire rheogram is desirable for process optimization, process design and trouble shooting. In the present paper a method proposed earlier to estimate the rheograms of polymer melts through the use of the melt flow index has been extended to polyblends. A method for obtaining the melt flow index of the polymer blends at various compositions from the melt flow index of the individual components and the blend ratio has been suggested based on the altered free volume state model. Curves that are coalesced using the melt flow index of the blend at different blend ratios have been presented for a polypropylene-high density polyethylene blend, a high density polyethylene-polymethyl methacrylate blend, a polystyrene-polymethyl-methacrylate blend, a polystyrene-polyacetal blend and a polymethylmethacrylate-polyacetal blend

Rheograms for engineering thermoplastics from melt flow index

A method proposed earlier has been extended to estimate complete flow curves or rheograms of engineering plastics. Master curves that are independent of the grade and temperature have been generated and presented for acrylics, polyacetal, nylons, polyethylene terephthalate, polycarbonate and polysulfone. The influence of the various molecular parameters on the viscosity behaviour of polymer melts have been explained rationally. More specifically, the effects of chain branching and of chain rigidity on the master curve of a resin type have been elucidated with reference to polyacetal and polysulfone, respectively. The method presented here can be used effectively by processors of engineering plastics

Dynamic mechanical, electrical and magnetic properties of ferrite filled styrene-isoprene-styrene

The dynamic mechanical, electrical and magnetic properties of highly filled magnetic polymeric composites containing 75 to 85 wt % barium ferrite in a thermoplastic elastomer matrix styrene-isoprene-styrene (SIS), are reported. The dependence of the properties on the volume fraction of the filler has been investigated. It is shown that the toughness and shore hardness of the composite may be correlated to its dynamic mechanical parameters. The use of coupling agents for surface treatment of ferrites has been shown to improve the magnetic properties of the composite due to better filler dispersion

Some aspects of heavy ion fusion-fission dynamics

Study of heavy ion induced fusion-fission reactions at near and below barrier energies has attracted a great deal of attention in recent years, due to the observations of anomalous features in the fragment angular distributions for many target-projectile systems. Additionally there are also measurements of the fragment spin distributions and time-scales of the fusion-fission reactions, which have provided important information on the dynamics of these processes. In the present paper, the emphasis would be to highlight some of the recent experimental findings and their implications on the dynamics of the fusion-fission reactions in heavy ion collisions at near and above barrier energies

Studies of light-charged particle emission in fission at Trombay

Studies of prompt radiations emitted in fission were started at Trombay in the late 1950's by Dr R Ramanna and over the years extensive investigations on the emission of prompt neutrons, gamma ray and K x-rays in fission were carried out with neutron beams from apsara and cirus reactors. In the early 1960's studies on the emission of light-charged particles in fission, which is a rare mode of fission, were also started. This paper reviews some of the recent studies on the emission of light-charged particles (lcp) in fission which were carried out with a view to investigate the mechanism of lcp emission, the scission configuration and the dynamics of the last stages of the fission process

Effect of mattress deflection on CPR quality assessment for older children and adolescents

Appropriate chest compression (CC) depth is associated with improved CPR outcome. CCs provided in hospital are often conducted on a compliant mattress. The objective was to quantify the effect of mattress compression on the assessment of CPR quality in children. Methods: A force and deflection sensor (FDS) was used during CPR in the Pediatric Intensive Care Unit and Emergency Department of a children's hospital. The sensor was interposed between the chest of the patient and hands of the rescuer and measured CC depth. Following CPR event, each event was reconstructed with a manikin and an identical mattress/backboard/patient configuration. CCs were performed using FDS on the sternum and a reference accelerometer attached to the spine of the manikin, providing a means to Calculate the mattress deflection. Results: Twelve CPR events with 14,487 CC (11 patients, median age 14.9 years) were recorded and reconstructed: 9 on ICU beds (9296 CC), 3 on stretchers (5191 CC). Measured mean CC depth during CPR was 47 +/- 8 mm on ICU beds, and 45 +/- 7 mm on stretcher beds with overestimation of 13 +/- 4 mm and 4 +/- 1 mm, respectively, due to mattress compression. After adjusting for this, the proportion of CC that met the CPR guidelines decreased from 88.4 to 31.8% on ICU beds (p < 0.001), and 86.3 to 64.7% on stretcher (p < 0.001 The proportion of appropriate depth CC was significantly smaller on ICU beds (p < 0.001). Conclusion: CC conducted on a non-rigid surface may not be deep enough. FDS may overestimate CC depth by 28% on ICU beds, and 10% on stretcher beds